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Employment Application
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Full Name: Last, First and MI
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Gender
Male
Female
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Street Address, Aprt. #, City, State and zip
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Phone #
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Email Address
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Security Social No.
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Position Applied for
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Date Available
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Desired Salary
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Are you a citizen of the United States?
Yes
No
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If no, are you authorized to work in the U.S.?
Yes
No
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Have you ever worked for this company?
Yes
No
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If so, when?
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Have you ever been convicted of a felony?
Yes
No
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If yes, explain
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EDUCATION: Dates and Graduation from High School
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EDUCATION: Dates and Graduation from High School
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Please list three professional references.
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REFERENCES: List Full Name, Relationship, Full Address, Phone and Company
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REFERENCES: List Full Name, Relationship, Full Address, Phone and Company
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REFERENCES: List Full Name, Relationship, Full Address, Phone and Company
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Current and Previous Employment
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PREVIOUS EMPLOYMENT: Company Name, Address, Phone, Job Title, Supervisor, Responsibilities, Time Employed, Ending Salary
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Reason for Leaving
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May we contact your previous supervisor for a reference?
Yes
No
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PREVIOUS EMPLOYMENT: Company Name, Address, Phone, Job Title, Supervisor, Responsibilities, Time Employed, Ending Salary
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Reason for Leaving
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May we contact your previous supervisor for a reference?
Yes
No
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PREVIOUS EMPLOYMENT: Company Name, Address, Phone, Job Title, Supervisor, Responsibilities, Time Employed, Ending Salary
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Reason for Leaving
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May we contact your previous supervisor for a reference?
Yes
No
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DISCLAIMER AND SIGNATURE
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I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. All Employees are Subject to a background checks and drug test.
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Signature
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Date
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Do You Have Experience in:
Commercial Office Cleaning
Commercial Floor Care
Residential Home Cleaning
Carpet Cleaning
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